Autoinflation

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Autoinflation
Specialty Otolaryngology

Autoinflation is a minimally invasive procedure to treat serous non-infectious otitis media, in which a nasal balloon is inserted into the nasopharynx, followed by the application of pressure to the sinus cavities by forcibly contracting the diaphragm against the closed nasal passageways. [1] [2] It can also be performed by manually pinching the nasal passages and closing the back of the pharynx, followed by forceful contraction of the diaphragm.

It may provide short-term relief of symptoms in cases of otitis media with effusion (colloquially known as glue ear) [3] . However, it is not recommended as a long-term treatment of otitis media with effusion due to the variable effectiveness of the treatment in studies, as well as a lack of high-quality evidence to suggest that the long-term benefits of using autoinflation in glue ear outweigh the inconveniences of regularly performing the procedure and the risk of pain. [4]

References

  1. ↑ Schilder, AG; Venekamp, RP (July 2016). "Nasal balloon autoinflation can help clear middle ear effusion, improving the quality of life in school-aged children with glue ear". Evidence-Based Nursing. 19 (3): 81. doi:10.1136/eb-2015-102268. PMID   27005567. S2CID   11762687.
  2. ↑ Williamson, I; Vennik, J; Harnden, A; Voysey, M; Perera, R; Breen, M; Bradley, B; Kelly, S; Yao, G; Raftery, J; Mant, D; Little, P (September 2015). "An open randomised study of autoinflation in 4- to 11-year-old school children with otitis media with effusion in primary care". Health Technology Assessment . 19 (72): 1–150. doi: 10.3310/hta19720 . PMC   4781307 . PMID   26377389.
  3. ↑ Blanshard, J.d.; Maw, A.r.; Bawden, R. (1993). "Conservative treatment of otitis media with effusion by autoinflation of the middle ear" . Clinical Otolaryngology & Allied Sciences. 18 (3): 188–192. doi:10.1111/j.1365-2273.1993.tb00827.x. ISSN   1365-2273.
  4. ↑ Webster, Katie E.; Mulvaney, Caroline A.; Galbraith, Kevin; Rana, Mridul; Marom, Tal; Daniel, Mat; Venekamp, Roderick P.; Schilder, Anne Gm; MacKeith, Samuel (2023-09-26). "Autoinflation for otitis media with effusion (OME) in children". The Cochrane Database of Systematic Reviews. 9 (9) CD015253. doi:10.1002/14651858.CD015253.pub2. ISSN   1469-493X. PMC   10521168 . PMID   37750500.



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